i have been LPN with AHS for 10years, now our unit started to try nursing care hub, one hub includes 2RN, 1LPN, 1NA; normally 1RN or 1LPN looks after 4 patients, RN's patients more acute, which I think it's reasonable; but now with the now hub system, the team leader (RN) only takes 2 patients, then the other RN and the LPN have to take 5 patients; the manager said the team leader take 2 more acute patients; but some times there is not acute patients for team leader....no matter how, the team leader only takes 2 patients, and the team leader will page the doctors for all the hub nurse if needed.....but on top of the 3 team leaders, there is a charge nurse to contact the doctor if needed;
I tried care hub on Monday, end up I have 5 patients (2 fresh post op patients, the 2rn totally had 6 patients who are not acute at all, and I was busy like crazy....
i am wondering what's the reason to try the stupid care hub? Just let senior RN sitting there do nothing, other nurse running like crazy? (Sorry I am not try to be rude, but that's my true feeling)
If this is something that goes on in your unit (people not getting their full breaks), like Fiona said, file an overtime form. This isn't you complaining--this is you alerting your manager that you're not getting your breaks, it is an issue, and it's coming out of your unit's budget and your manager will have to answer to that. Nothing gets management cracking down on issues like money does.
Hi, I would also like to vent about Co-Act. I understand the concept of co-act and think the concept is amazing. Involving the patient, allowing all team members to be active in treatment etc. However, in practical use this way of doing things is unrealistic. Firstly I would like to bring up the idea of confidentiality. When we go into the room to give report this is breaking our confidentiality rule where the other people in the room can hear what is going on with the patient. Also, most patients do not even want to hear report. Why would we go into the room to give part of the report and then come out of the room to give other parts of the report. Also, when we are trying to give report in the patients room, often times the patients are confused and are asking who we are, what we are doing, and interrupting report asking for tasks to be done. This makes it hard for all of us to pay attention and be present during report. Sometimes there are critical pieces of information such as lab vlaues, and diagnoses that have not yet been explained to the patient by the doctor, family or friends are present and we cannot disclose this information, but the information needs to be shared among the health care team.
I strongly feel that report should be shared only among the health care team. We involve the patients as needed in terms of goals etc, throughout the shifts using the nursing process.
The idea of the care hub is great. I feel that giving the more acute patients to the RN works, if it is appropriate in terms of experience. I wouldn't allow a new grad over a LPN with 15 years experience to get the acute patients. More over I like the idea of helping each other with patients in terms of shifting focus on assessing the needs of your co-worker and helping as required....which provides more safe and effective care...sometimes we have other team members from other hubs coming to help other hubs as well which really helps to keep everyone calm and less stressed allowing team members to focus.
Some aspects of Co-Act work however, I do not agree with it in totality.
MPKH, BSN, RN
449 Posts
If this is something that goes on in your unit (people not getting their full breaks), like Fiona said, file an overtime form. This isn't you complaining--this is you alerting your manager that you're not getting your breaks, it is an issue, and it's coming out of your unit's budget and your manager will have to answer to that. Nothing gets management cracking down on issues like money does.